Transcultural adaptation and validation of the Moroccan Arabic dialect version of the Wexner incontinence score in patients with low anterior resection syndrome after rectal surgery

Essangri, Hajar; Majbar, Mohammed Anass; Benkabbou, Amine; Amrani, L.; Mohsine, Raouf; Souadka, Amine

doi:10.1016/j.surg.2021.01.029

Cited by 6 publications

(5 citation statements)

References 33 publications

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“…The first idea for LARS scoring system came up in 1998, and the Memorial Sloan Kettering Cancer Center Bowel Function Instrument (MSKCC-BFI) created the 18 items validated scoring system in 2004 that can be used to assess the bowel function after LAR ( 35 ). This scoring system surveys several factors, including diet number, form, quality and timing of bowel movements, sensation of flatus, anti-diarrheal medication usage, and fecal incontinence.…”

Section: Discussionmentioning

confidence: 99%

The risk factors of low anterior resection syndrome after colorectal cancer surgery: A retrospective study of 566 patients in a single institution in China

Kang

et al. 2022

Front. Surg.

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PurposeThis study aims to identify the independent risk factors in the low anterior resection syndrome (LARS) after surgery for colorectal cancer (CRC).MethodThis was a retrospective, single-institution study in the Second Affiliation Hospital of Dalian Medical University, China. Patients underwent sphincter-preserving low anterior resection with total or partial mesorectal resection (with or without protective ileostomy) and completed a self-filled questionnaire over the phone to assess postoperative bowel dysfunction from January 2017 to December 2019. The predictors of LAR were evaluated using univariate and multivariate analyses.ResultThe study population was 566 patients, 264 (46.64%), 224 (39.58%), and 78 (13.78%) patients with no, minor, and major LARS, respectively. In the univariate analysis, independent factors such as tumor location and size, anastomotic height, protective ileostomy, post-operation chemoradiotherapy, tumor T stage, lymphatic nodal metastasis classification, surgery duration, and time interval for closure of stoma were significantly associated with LARS points while we found the tumor T stage and lymphatic nodal metastasis classification as the new independent risk factors compared with the last decade studies. In the multivariate analysis, factors such as low and middle tumor location and protective ileostomy, and post operation treatment, nodal metastasis classification were the independent risk factors for major LARS.ConclusionThe new independence risk factors were tumor T stage and lymphatic nodal metastasis status in univariate analysis in our study, with anastomotic height, low and middle tumor location, protective ileostomy, post-operation chemoradiotherapy, nodal metastasis status increasing LARS point in multivariate analysis after surgery for CRC.

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Section: Discussionmentioning

confidence: 99%

The risk factors of low anterior resection syndrome after colorectal cancer surgery: A retrospective study of 566 patients in a single institution in China

Kang

et al. 2022

Front. Surg.

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“…The incontinence was assessed by Wexner incontinence scoring ( 10 ) before the surgery and 2 months after the surgery. The six parameters evaluated in the scoring were incontinence to gas, liquid, and solid; the need for padding; antidiarrhea medications; and the ability to defer defecation for 15 min.…”

Section: Methodsmentioning

confidence: 99%

Internal Orifice Alloy Closure—A New Procedure to Treat Anal Fistula

Fang

Zhang

et al. 2022

Front. Surg.

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BackgroundThe internal orifice plays an important role in the pathogenesis and treatment of the most complex fistula-in-ano. The treatment of the internal orifice is considered to be the key to the success of anal fistula surgery. The objective of this study is to evaluate the feasibility of a new sphincter-sparing surgical approach for anal fistula.Materials and MethodsAll hospitalized anal fistula patients were included in this study. Preoperative anorectal ultrasound was done on all the patients. Transanal internal orifice alloy closure (IOAC) was performed through a disposable titanium nickel alloy anal fistula stapler. The external sphincter was not cut. An anal fistula brush was used to curette and clean fistulas. Postoperative anorectal color ultrasound was used for evaluation 2 months postoperatively.ResultsTwenty-one patients (male/female: 18/3, age: 39.7 ± 10.5 years) with fistula-in-ano were included (follow-up: 6–11 months).In total, 38.1% (8) had multiple tracts, and 9.5% (2) belonged to a high anal fistula. In total, 23.8% (5) of anal fistula patients were complicated by Crohn’s disease. The fistula healed completely in 85.7% (18/21) and did not heal in 14.3% (3/21). Three patients who did not heal had conventional surgery reperformed and eventually healed. Except for three patients undergoing additional traditional anal fistula surgery, the Wexner incontinence scores of other patients did not change after surgery compared with before surgery.ConclusionsIOAC is a novel sphincter-saving technique that is simply effective in treating anal fistula containing Crohn’s anal fistula.

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“…Every item has three options with a de ned scoring system used for evaluating the severity. The patients were divided into the no (0-20), minor (21)(22)(23)(24)(25)(26)(27)(28)(29), and major (30-42) LARS groups depending on their total score (Table 2). We used the Chinese version of the questionnaire.…”

Section: Lars Questionnaire and Data Collectionmentioning

confidence: 99%

“…The colorectal experts thought that the best way to deal with this syndrome is to evaluate the LARS scoring and prevent it, and this idea for LARS scoring system rst came up in 1998, and the Memorial Sloan Kettering Cancer Center Bowel Function Instrument (MSKCC-BFI) created the 18 items validated scoring system in 2004 that can be used to assess the bowel function after LAR [23]. This scoring system surveys several factors, including diet number, form, quality and timing of bowel movements, sensation of atus, anti-diarrheal medication usage, and fecal incontinence.…”

Section: Introductionmentioning

confidence: 99%

The Risk Factors of Low Anterior Resection Syndrome After Colorectal Cancer Surgery Compared with the Last Decade Studies

Kim

et al. 2022

Preprint

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Purpose This study aims to identify the independent risk factors compared with the last decade studies in the low anterior resection syndrome (LARS) after surgery for colorectal cancer (CRC). Method This was a cross-sectional, single-institution study in the Second Affiliation Hospital of Dalian Medical University, China. Patients underwent sphincter-preserving low anterior resection with total or partial mesorectal resection (with or without protective ileostomy) and completed a self-filled questionnaire over the phone to assess postoperative bowel dysfunction from January 2017 to December 2019. The predictors of LAR were evaluated using univariate and multivariate analyses, and compared with the last decade studies. Result The study population was 566 patients, 264 (46.64%), 224 (39.58%), and 78 (13.78%) patients with no, minor, and major LARS, respectively. In the univariate analysis, independent factors such as tumor location and size, anastomotic height, protective ileostomy, post-operation chemoradiotherapy, tumor T stage, lymphatic nodal metastasis classification, surgery duration, and time interval for closure of stoma were significantly associated with LARS points while we found the tumor T stage and lymphatic nodal metastasis classification as the new independent risk factors compared with the last decade studies. in the multivariate analysis, factors such as low and middle tumor location and protective ileostomy, and post operation treatment, nodal metastasis classification were the independent risk factors for major LARS. Conclusion The new independence risk factors were tumor T stage and lymphatic nodal metastasis status in univariate analysis in our study, with anastomotic height, low and middle tumor location, protective ileostomy, post-operation chemoradiotherapy, nodal metastasis status increasing LARS point in multivariate analysis after surgery for CRC.

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Transcultural adaptation and validation of the Moroccan Arabic dialect version of the Wexner incontinence score in patients with low anterior resection syndrome after rectal surgery

Cited by 6 publications

References 33 publications

The risk factors of low anterior resection syndrome after colorectal cancer surgery: A retrospective study of 566 patients in a single institution in China

The risk factors of low anterior resection syndrome after colorectal cancer surgery: A retrospective study of 566 patients in a single institution in China

Internal Orifice Alloy Closure—A New Procedure to Treat Anal Fistula

The Risk Factors of Low Anterior Resection Syndrome After Colorectal Cancer Surgery Compared with the Last Decade Studies

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